Uvular edema secondary to snoring under deep sedation

A 57-year-old male with a documented history of obstructive sleep apnea with loud snoring received deep intravenous sedation with midazolam, fentanyl, ketamine, and propofol infusion and a left interscalene brachial plexus nerve block for a left biceps tendon repair. Loud snoring during the case was...

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Bibliographic Details
Published in:Anesthesia progress 2006-01, Vol.53 (1), p.13-16
Main Authors: Miller, Robert J, Gerhardt, Mark A
Format: Article
Language:English
Subjects:
Anesthetics, Dissociative - administration & dosage
Anesthetics, Intravenous - administration & dosage
Arm
Brachial Plexus
Case Report
Dentistry
Edema - etiology
Fentanyl - administration & dosage
Humans
Hypnotics and Sedatives - administration & dosage
Ketamine - administration & dosage
Male
Midazolam - administration & dosage
Middle Aged
Nerve Block
Postoperative Complications
Propofol - administration & dosage
Sleep Apnea, Obstructive - complications
Snoring - complications
Tendons - surgery
Uvula - pathology
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Summary:A 57-year-old male with a documented history of obstructive sleep apnea with loud snoring received deep intravenous sedation with midazolam, fentanyl, ketamine, and propofol infusion and a left interscalene brachial plexus nerve block for a left biceps tendon repair. Loud snoring during the case was noted. On the second postoperative day, he was observed to have significant uvular edema. After due consideration of the various elements in the differential diagnosis, it was concluded that negative pressure trauma from deep snoring during the sedation was the most likely etiology.
ISSN:0003-3006
1878-7177
DOI:10.2344/0003-3006(2006)53[13:UESTSU]2.0.CO;2